chr4-70602623-G-C

Variant summary

Our verdict is Uncertain significance. Variant got 5 ACMG points: 5P and 0B. PVS1_ModeratePM2PP5

The NM_016519.6(AMBN):​c.532-1G>C variant causes a splice acceptor change. The variant allele was found at a frequency of 0.00000384 in 1,564,514 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 3/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: 𝑓 0.000027 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

AMBN
NM_016519.6 splice_acceptor

Scores

1
4
2
Splicing: ADA: 1.000
2

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 4.27
Variant links:
Genes affected
AMBN (HGNC:452): (ameloblastin) This gene encodes the nonamelogenin enamel matrix protein ameloblastin. The encoded protein may be important in enamel matrix formation and mineralization. This gene is located in the calcium-binding phosphoprotein gene cluster on chromosome 4. Mutations in this gene may be associated with dentinogenesis imperfect and autosomal dominant amylogenesis imperfect. [provided by RefSeq, Aug 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 5 ACMG points.

PVS1
Splicing +-2 bp (donor or acceptor) variant, product NOT destroyed by NMD, known LOF gene, truncates exone, which is 0.02827381 fraction of the gene. Cryptic splice site detected, with MaxEntScore 6.1, offset of 7, new splice context is: atctgtgatatacctcccAGgag. Cryptic site results in frameshift change. If cryptic site found is not functional and variant results in exon loss, it results in inframe change.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 4-70602623-G-C is Pathogenic according to our data. Variant chr4-70602623-G-C is described in ClinVar as [Pathogenic]. Clinvar id is 372171.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr4-70602623-G-C is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
AMBNNM_016519.6 linkuse as main transcriptc.532-1G>C splice_acceptor_variant ENST00000322937.10 NP_057603.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
AMBNENST00000322937.10 linkuse as main transcriptc.532-1G>C splice_acceptor_variant 1 NM_016519.6 ENSP00000313809 P1Q9NP70-1
AMBNENST00000449493.2 linkuse as main transcriptc.487-1G>C splice_acceptor_variant 5 ENSP00000391234 Q9NP70-2

Frequencies

GnomAD3 genomes
AF:
0.0000267
AC:
4
AN:
149766
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000994
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000437
AC:
1
AN:
229080
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
124524
show subpopulations
Gnomad AFR exome
AF:
0.0000679
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000141
AC:
2
AN:
1414748
Hom.:
0
Cov.:
29
AF XY:
0.00000142
AC XY:
1
AN XY:
702230
show subpopulations
Gnomad4 AFR exome
AF:
0.0000626
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000267
AC:
4
AN:
149766
Hom.:
0
Cov.:
32
AF XY:
0.0000137
AC XY:
1
AN XY:
73060
show subpopulations
Gnomad4 AFR
AF:
0.0000994
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000756
ESP6500AA
AF:
0.000229
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00000829
AC:
1

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Amelogenesis imperfecta type 1F Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMNov 22, 2016- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.60
D
BayesDel_noAF
Benign
-0.64
CADD
Pathogenic
27
DANN
Uncertain
0.98
Eigen
Uncertain
0.61
Eigen_PC
Uncertain
0.32
FATHMM_MKL
Uncertain
0.76
D
MutationTaster
Benign
1.0
D;D
GERP RS
3.6

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.79
SpliceAI score (max)
0.70
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.70
Position offset: 8
DS_AL_spliceai
0.70
Position offset: 1

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs146238585; hg19: chr4-71468340; COSMIC: COSV59828338; API